go back

Removal of Breast Tissue, Skin and Nipple Preserved

Wisconsin rates for HCPCS 19304

This covers surgery to remove the internal tissue of the breast while preserving the overlying skin and nipple. It is commonly performed to treat gynecomastia (enlarged breast tissue) or as a risk-reducing procedure for someone at high risk of breast cancer. Because the skin envelope is preserved, this approach can allow for a more natural appearance if reconstruction is planned.

Rates data updated July 2026.

How much does Removal of Breast Tissue, Skin and Nipple Preserved cost?

$1,862

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $1,862 for this service. Most negotiated rates run $1,622 to $2,951.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,413 to $4,074Professionalmedian $2,630 · 10th to 90th $891 to $2,951
$100$200$500$1K$2K$5Kfacility $1,660professional $2,630

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,630.27
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,737.80
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$6,025.60
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,981.07

Where Wisconsin sits

The same service costs 1349.0 times more in Texas than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 16th of 35

$1,862

TX $33,884MS $25.12

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.